Melebari Dania M, Khan Adeel Ahmed
Preventive Medicine, Saudi Board of Preventive Medicine, Ministry of Health, Makkah, SAU.
Epidemiology and Public Health, Saudi Board of Preventive Medicine, Ministry of Health, Makkah, SAU.
Cureus. 2022 Mar 29;14(3):e23605. doi: 10.7759/cureus.23605. eCollection 2022 Mar.
Introduction Advocating a healthy lifestyle is the cornerstone of primary healthcare physicians. As physicians are the ultimate role models for patients regarding health and well-being, we focused on physicians working in primary healthcare centers (PHCs) in Makkah because they work on the frontline of disease prevention and are considered the first point of contact for patients entering the health system. This study aimed to estimate the physical activity levels in physicians working in the PHCs of Makkah and any perceived barriers to engage in physical activity. Methodology We conducted a cross-sectional study at PHCs in Makkah from October 2021 to December 2021. We used a multistage cluster random sampling technique to select primary healthcare physicians in Makkah city. We recruited 196 physicians working in PHCs for this study. We used the short version of the International Physical Activity Questionnaire to measure physical activity levels, and we used the barriers to being active questionnaire to identify the barriers. Descriptive analysis was performed using frequencies. Bivariate associations between the most frequently reported barriers and sociodemographic variables were determined using the chi-square test, Student t-test, and analysis of variance via IBM SPSS Statistics for Windows, version 22.0 (Armonk, NY: IBM Corp.). Results Approximately 45.9% of physicians were overweight, while 69.4% were not gym members. In the seven days prior to answering the surveys, approximately 71.9% did not report any vigorous activity, and 30.6% had performed moderate activity. The most significant barrier to being active was a lack of time (70.9%), followed by a lack of resources (69.9%). In bivariate analysis, we noted a significant negative relationship between gym membership, vigorous and moderate physical activity, and perceived barriers scores (p<0.001). Conclusion Most of the physicians in PHCs are not physically active. The main barrier to their physical activity is lack of time. There is a need to encourage them and motivate them to be physically active to model more healthy behaviors to the general population.
引言 倡导健康的生活方式是基层医疗医生的基石。由于医生是患者在健康和幸福方面的最终榜样，我们将重点放在麦加基层医疗中心（PHC）工作的医生身上，因为他们处于疾病预防的前沿，被视为患者进入医疗系统的第一接触点。本研究旨在评估在麦加基层医疗中心工作的医生的身体活动水平以及参与身体活动所感知到的任何障碍。
方法 我们于2021年10月至2021年12月在麦加的基层医疗中心进行了一项横断面研究。我们采用多阶段整群随机抽样技术来选择麦加市的基层医疗医生。我们招募了196名在基层医疗中心工作的医生参与本研究。我们使用国际身体活动问卷简版来测量身体活动水平，并使用妨碍身体活动问卷来识别障碍。使用频率进行描述性分析。使用卡方检验、学生t检验以及通过IBM SPSS Statistics for Windows 22.0版（纽约州阿蒙克：IBM公司）进行方差分析来确定最常报告的障碍与社会人口学变量之间的双变量关联。
结果 约45.9%的医生超重，而69.4%不是健身房会员。在回答调查问卷前的七天里，约71.9%的医生未报告任何剧烈活动，30.6%的医生进行了适度活动。妨碍身体活动的最主要障碍是缺乏时间（70.9%），其次是缺乏资源（69.9%）。在双变量分析中，我们注意到健身房会员资格、剧烈和适度身体活动与感知到的障碍得分之间存在显著的负相关关系（p<0.001）。
结论 基层医疗中心的大多数医生身体活动不足。他们身体活动的主要障碍是缺乏时间。需要鼓励并激励他们积极进行身体活动，以便为普通人群树立更健康行为的榜样。
